Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Assessment of Needs and Accessibility Towards Health Insurance Claims Data

연구를 위한 건강보험 청구자료 요구 및 이용 요인분석

  • Lee, Jung-A (Institute of Health Policy and Management, Medical Research Center, Seoul National University) ;
  • Oh, Ju-Hwan (Institute of Health Policy and Management, Medical Research Center, Seoul National University) ;
  • Moon, Sang-Jun (Institute of Health Policy and Management, Medical Research Center, Seoul National University) ;
  • Lim, Jun-Tae (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Lee, Jin-Seok (Institute of Health Policy and Management, Medical Research Center, Seoul National University) ;
  • Lee, Jin-Yong (Department of Preventive Medicine, College of Medicine, Konyang University) ;
  • Kim, Yoon (Institute of Health Policy and Management, Medical Research Center, Seoul National University)
  • 이정아 (서울대학교 의학연구원 의료관리학연구소) ;
  • 오주환 (서울대학교 의학연구원 의료관리학연구소) ;
  • 문상준 (서울대학교 의학연구원 의료관리학연구소) ;
  • 임준태 (서울대학교 의과대학 의료관리학교실) ;
  • 이진석 (서울대학교 의학연구원 의료관리학연구소) ;
  • 이진용 (건양대학교 의과대학 예방의학교실) ;
  • 김윤 (서울대학교 의학연구원 의료관리학연구소)
  • Received : 2011.11.28
  • Accepted : 2011.03.29
  • Published : 2011.03.31
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Abstract

Objectives : This study examined the health policy researchers' needs and their accessibility towards health insurance claim datasets according to their academic capacity. Methods : An online questionnaire to capture relevant proxy variables for academic needs, accessibility, and research capacity was constructed based on previous studies. The survey was delivered to active health policy researchers through three major scholarly associations in South Korea. Seven-hundred and one scholars responded while the survey as open for 12 days (starting on December 20th, 2010). Descriptive statistics and logistic regression analysis were carried out. Results : Regardless of the definition for operational needs, the prevalent needs of survey respondents were not met with the current provision of claim data. Greater research capacity was shown to be correlated with increased demand for claim data along with a positive correlation between attempts to obtain claim datasets and research capacity. A greater research capacity, however, was not necessarily correlated with better accessibility to the claim data. Conclusions : The substantial unmet need for claim data among the healthcare policy research community calls for establishing proactive institutions which could systematically prepare and make available public datasets and provide call-in services to facilitate proper handling of data.

Keywords

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